Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $1,555.20 / $2,572.80	Facility		$768.00	$1,555.20	$2,572.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $956.16	Professional		$768.00	$768.00	$956.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $234.97 / $25,679.46	Facility		$80.20	$234.97	$25,679.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.95 / $1,199.53 / $3,512.30	Professional		$73.95	$1,199.53	$3,512.30
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.13 / $1,485.13 / $1,485.13	Professional		$1,485.13	$1,485.13	$1,485.13
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,500.00	Professional		$800.00	$800.00	$1,500.00